Exam (elaborations)
NUR2474 Rasmussen Pharm Exam 1 – Questions With Solutions
NUR2474 Rasmussen Pharm Exam 1 – Questions With Solutions
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NUR2474 Rasmussen Pharm Exam 1 – QuestionsWith Solutions
What things should we always do when giving methylphenidate to a child
with ADHD ✔️Ans - - ALWAYS: give the drug in the morning, after
breakfast, and give the last dose before 4pm, or else the child will not sleep at
night
Which 3 drugs are controlled substances and highly abused? ✔️Ans - -
amphetamines,
- barbiturates,
- methylphenidate
What is the purpose of drug treatment with Alzheimer Disease patients
✔️Ans - - there is treatment to help slow down the progression of the disease,
but to not
cure it
How does donepezil work ✔️Ans - - it slows the progression of
Alzheimers disease by causing reversible inhibition of cholinesterase and the
cholinergic receptors.
What should we do when discontinuing an antidepressant (or any
medication) ✔️Ans - - if antidepressant is stopped cold turkey,
withdrawal syndrome can occur.
- we must gradually taper the drug slowly and have the HCP taper it.
- do not let patient taper drug by themselves
What are signs and symptoms of withdrawal syndrome? ✔️Ans - - HA,
- Nausea,
- visual disturbances,
- sweating,
- dizziness,
- tremors
What is the relationship between sertraline and nursing infants? ✔️Ans - -
when this drug is used with a patient who is pregnant or nursing infants, the
infant can have neonatal abstinence syndrome occur
,what should we educate pregnant or nursing moms about when using
sertraline? ✔️Ans - - We must educate the patient on potentially using
other medications during
this time period, as it can cause potential birth defects and the baby to
become sick.
explain the relationship between fluoxetine and alcohol abuse ✔️Ans - -
when this drug is used with alcohol abuse, it can interact with the medication
and make the patient very sick..
what should we teach the patient regarding alcohol use ✔️Ans - - the
patient must avoid alcohol while taking most medications
what is the first line medication used to stop a seizure? ✔️Ans - -
diazepam (benzo) by IM
. explain side effect ✔️Ans - - unavoidable secondary drug effects
produced at therapeutic doses.
- May be unwanted, but unavoidable and expected.
explain adverse effect ✔️Ans - - undesired and unexpected severe
responses to a medication. They do have
the potential to cause harm.
explain allergies/anaphylaxis ✔️Ans - - an immune response to a
medication that causes a reaction that can be mild to life threatening
what are s/s of allergic reactions? ✔️Ans - - itchy,
- rash,
- hives,
- wheezes,
- SOB,
- swelling of face,
- lips and throat.
what should we do if we a patient actively in allergic reaction? ✔️Ans - -
stop the medication,
- call the doctor,
, - D/C lines,
- check for antidotes, and
- give emergency care based on ABC's
what should we do before giving any medication? ✔️Ans - - ask about
patient allergies to medications and what happens when they take
them.
- remember if they report they get any s/s of allergic run with medication use,
we must hold med and call dr.
explain intended drug effects ✔️Ans - - effects that we want to see and
that are therapeutic when using the drug. Ex:
with an antidepressant, we want to see a mood change, because that is the
intended use of the drug.
explain teratogenic effect ✔️Ans - - a drug induced birth defect that can
cause harm to the fetus
Why we do not allow pregnant moms or those lactating to not take certain
medications ✔️Ans - - so they do not harm their child.
. explain paradoxical effect ✔️Ans - - The opposite of the intended drug
response
example of paradoxical response ✔️Ans - - Benzo's may be used for
sedation and insomnia treatment, but may instead
cause them to stay up, have excitement, and to be rowdy. The opposite.
explain tolerance ✔️Ans - - occurs when there is a long term reduced
responsiveness to a medication over time, causing the medication to not
produce a therapeutic effect. Will need to increase the dose to get the same
effect. Will be higher dose but the effects will be seen. will take longer to wean
also
explain dependence ✔️Ans - - the patient gets used to the drug and
cannot stop using it. When they do stop the med cold turkey they can have
withdrawal symptoms. Why we have to wean and taper the drug
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